<html>
<head>
    <meta charset="UTF-8">
    <title>新建建造检验申请表</title>
    <meta name="renderer" content="webkit">
    <meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1">
    <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1">
    <meta name="apple-mobile-web-app-status-bar-style" content="black">
    <meta name="apple-mobile-web-app-capable" content="yes">
    <meta name="format-detection" content="telephone=no">

    <link rel="stylesheet" href="../../plugins/layui/css/layui.css" media="all" />
    <link rel="stylesheet" href="../../plugins/font-awesome/css/font-awesome.min.css">
</head>
<body>

<fieldset class="layui-elem-field" style="margin-top: 30px;">
    <legend style="text-align: center;"><b>浙江省船舶检验局<br>船舶建造（初次）检验申请表</b></legend>

    <form class="layui-form" >
        <blockquote class="layui-elem-quote layui-quote-nm" style="margin: 30px">
            <strong>
                浙江省船舶检验局宁波检验处（所）： <br>
                &nbsp;&nbsp;&nbsp;&nbsp;本单位向贵处(所)提出以下船舶检验申请，同时承诺：<br>
                &nbsp;&nbsp;&nbsp;&nbsp;1.&nbsp;遵守国家对船舶建造的有关规定，确保所建造的船舶符合现行船检法规、规范和有关国家标准、船舶标准规定，并对所建造的船舶质量全权负责。<br>
                &nbsp;&nbsp;&nbsp;&nbsp;2.&nbsp;认真配合验船人员的检验工作，并提供安全合适的检验工作环境和条件。<br>
                &nbsp;&nbsp;&nbsp;&nbsp;3.&nbsp;对提供的检验或试验记录的真实性负责。<br>
            </strong>
        </blockquote>

        <blockquote class="layui-elem-quote layui-quote-nm" style="margin: 30px;">
            <fieldset class="layui-elem-field layui-field-title">
                <legend><b>项目基础信息</b><span>&nbsp;&nbsp;（</span><span style="color: red;font-size: 25px">*</span><span>为必填项）</span></legend>
                <div class="layui-field-box" style="margin-top: 25px;">

                    <div class="layui-form-item">
                        <div class="layui-inline">
                            <label class="layui-form-label"><span style="color: red;">*</span>船名</label>
                            <div class="layui-input-inline">
                                <input type="text" name="shipname" lay-verify="" autocomplete="off" class="layui-input">
                            </div>
                        </div>
                        <div class="layui-inline">
                            <label class="layui-form-label"><span style="color: red;">*</span>检验类型</label>
                            <div class="layui-input-inline">
                                <select name="insptype" lay-filter="insptypefilter">
                                    <option value="">请选择</option>
                                    <option value="建造">建造</option>
                                    <option value="改建">改建</option>
                                    <option value="初次">初次</option>
                                    <option value="其他">其他</option>
                                </select>
                            </div>
                        </div>
                        <div class="layui-inline">
                            <label class="layui-form-label"><span style="color: red;">*</span>船厂工程编号</label>
                            <div class="layui-input-inline">
                                <input type="text" name="ccpronum" lay-verify="" autocomplete="off" class="layui-input">
                            </div>
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <div class="layui-inline">
                            <label class="layui-form-label"><span style="color: red;">*</span>总长(m)</label>
                            <div class="layui-input-inline">
                                <input type="text" name="shiplength" lay-verify="" autocomplete="off" class="layui-input">
                            </div>
                        </div>
                        <div class="layui-inline">
                            <label class="layui-form-label"><span style="color: red;">*</span>总吨位</label>
                            <div class="layui-input-inline">
                                <input type="text" name="grosston" lay-verify="" autocomplete="off" class="layui-input">
                            </div>
                        </div>
                        <div class="layui-inline">
                            <label class="layui-form-label"><span style="color: red;">*</span>主机功率(kw)</label>
                            <div class="layui-input-inline" style="margin-right:0px">
                                <input type="text" name="hostpower" lay-verify="" autocomplete="off" class="layui-input">
                            </div>
                            <div class="layui-input-inline" style="width: 64px">
                                <span style="font-size: 10px">（无动力<br>&emsp;船填0）</span>
                            </div>
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <div class="layui-inline">
                            <label class="layui-form-label"><span style="color: red;">*</span>航行区域</label>
                            <div class="layui-input-inline">
                                <select name="region" lay-filter="regionfilter">
                                    <option value="">请选择</option>
                                    <option value="远海">远海</option>
                                    <option value="近海">近海</option>
                                    <option value="沿海">沿海</option>
                                    <option value="遮蔽">遮蔽</option>
                                    <option value="A级">A级</option>
                                    <option value="B级">B级</option>
                                    <option value="C级">C级</option>
                                    <option value="其他">其他</option>
                                </select>
                            </div>
                        </div>
                        <div class="layui-inline">
                            <label class="layui-form-label"><span style="color: red;">*</span>船籍港</label>
                            <div class="layui-input-inline">
                                <input type="text" name="shipstops" lay-verify="" autocomplete="off" class="layui-input">
                            </div>
                        </div>
                        <div class="layui-inline">
                            <label class="layui-form-label"><span style="color: red;">*</span>船舶类型</label>
                            <div class="layui-input-inline">
                                <input type="text" name="shiptype" lay-verify="" autocomplete="off" class="layui-input">
                            </div>
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <div class="layui-inline">
                            <label class="layui-form-label">设计单位</label>
                            <div class="layui-input-inline">
                                <input type="text" name="designunit" lay-verify="" autocomplete="off" class="layui-input">
                            </div>
                        </div>
                        <div class="layui-inline">
                            <label class="layui-form-label"><span style="color: red;">*</span>图号</label>
                            <div class="layui-input-inline">
                                <input type="text" name="figurenum" lay-verify="" autocomplete="off" class="layui-input">
                            </div>
                        </div>
                        <div class="layui-inline">
                            <label class="layui-form-label">审图批准号</label>
                            <div class="layui-input-inline">
                                <input type="text" name="approvalnum" lay-verify="" autocomplete="off" class="layui-input">
                            </div>
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <div class="layui-inline">
                            <label class="layui-form-label">图纸批准日期</label>
                            <div class="layui-input-inline">
                                <input type="text" name="figuredate" lay-verify="" autocomplete="off" class="layui-input" onclick="layui.laydate({elem: this})">
                            </div>
                        </div>
                        <div class="layui-inline">
                            <label class="layui-form-label"><span style="color: red;">*</span>预计开工日期</label>
                            <div class="layui-input-inline">
                                <input type="text" name="schddate" lay-verify="" autocomplete="off" class="layui-input" onclick="layui.laydate({elem: this})">
                            </div>
                        </div>
                        <div class="layui-inline">
                            <label class="layui-form-label">船东</label>
                            <div class="layui-input-inline">
                                <select name="cdinfo" lay-search>
                                    <option value="">直接选择或搜索选择</option>
                                </select>
                            </div>
                        </div>
                    </div>
                </div>
            </fieldset>
        </blockquote>
        <blockquote class="layui-elem-quote layui-quote-nm" style="margin: 30px">
            <fieldset class="layui-elem-field layui-field-title">
                <legend><b>提交资料</b><span>&nbsp;&nbsp;（上传压缩包,每个大小不超过20MB）</span></legend>
                <div class="layui-form-item" style="margin-top: 25px;">
                    <div class="layui-inline">
                        <span style="float:left;display:inline;padding:9px 15px;width:250px;font-weight:400;text-align:left"><input type="checkbox" name="info1" lay-skin="primary" lay-filter="info1"><span id="span1" style="color: grey;">船检机构批准的有效图纸</span></span>
                        <div class="layui-input-inline">
                            <input type="number" name="info1num" lay-verify="" autocomplete="off" class="layui-input" style="width: 100px;visibility: hidden;">
                        </div>
                        <div style="float: left">
                            <button type="button" class="layui-btn file" id="file1" style="visibility: hidden"><i class="fa fa-upload"></i>  上传文件</button>
                            <a class="layui-btn layui-btn-normal" id="download1" style="visibility: hidden"><i class="fa fa-download"></i> 下载文件</a>
                        </div>
                    </div>
                </div>
                <div class="layui-form-item">
                    <div class="layui-inline">
                        <span style="float:left;display:inline;padding:9px 15px;width:250px;font-weight:400;text-align:left"><input type="checkbox" name="info2" lay-skin="primary" lay-filter="info2"><span id="span2" style="color: grey;">建造工艺文件</span></span>
                        <div class="layui-input-inline">
                            <input type="number" name="info2num" lay-verify="" autocomplete="off" class="layui-input" style="width: 100px;visibility: hidden;">
                        </div>
                        <div style="float: left">
                            <button type="button" class="layui-btn file" id="file2" style="visibility: hidden"><i class="fa fa-upload"></i>  上传文件</button>
                            <a class="layui-btn layui-btn-normal" id="download2" style="visibility: hidden"><i class="fa fa-download"></i> 下载文件</a>
                        </div>
                    </div>
                </div>
                <div class="layui-form-item">
                    <div class="layui-inline">
                        <span style="float:left;display:inline;padding:9px 15px;width:250px;font-weight:400;text-align:left"><input type="checkbox" name="info3" lay-skin="primary" lay-filter="info3"><span id="span3" style="color: grey;">船厂建造开工条件有关资料</span></span>
                        <div class="layui-input-inline" >
                            <input type="number" name="" lay-verify="" autocomplete="off" class="layui-input" style="width: 100px;visibility: hidden;">
                        </div>
                        <div style="float: left">
                            <button type="button" class="layui-btn file" id="file3" style="visibility: hidden"><i class="fa fa-upload"></i>  上传文件</button>
                            <a class="layui-btn layui-btn-normal" id="download3" style="visibility: hidden"><i class="fa fa-download"></i> 下载文件</a>
                        </div>
                    </div>
                </div>
                <div class="layui-form-item">
                    <div class="layui-inline">
                        <span style="float:left;display:inline;padding:9px 15px;width:250px;font-weight:400;text-align:left"><input type="checkbox" name="info4" lay-skin="primary" lay-filter="info4"><span id="span4" style="color: grey;">其他</span></span>
                        <div class="layui-input-inline">
                            <input type="text" name="info4name" lay-verify="" autocomplete="off" class="layui-input" style="width: 100px;visibility: hidden;">
                        </div>
                        <div style="float: left">
                            <button type="button" class="layui-btn file" id="file4" style="visibility: hidden"><i class="fa fa-upload"></i>  上传文件</button>
                            <a class="layui-btn layui-btn-normal" id="download4" style="visibility: hidden"><i class="fa fa-download"></i> 下载文件</a>
                        </div>
                    </div>
                </div>
            </fieldset>
            <fieldset class="layui-elem-field layui-field-title">
                <legend><b>申请检验附加说明和要求</b></legend>
                <div class="layui-form-item layui-form-text" style="margin-top: 25px;">
                    <textarea name="additional" class="layui-textarea" style="width: 96%;margin-left: 30px;"></textarea>
                </div>
            </fieldset>
        </blockquote>
        <blockquote class="layui-elem-quote layui-quote-nm" style="margin: 30px">
            <fieldset class="layui-elem-field layui-field-title">
                <legend><b>单位基础信息</b><span>&nbsp;&nbsp;（</span><span style="color: red;font-size: 25px">*</span><span>为必填项）</span></legend>
                <div class="layui-form-item" id="chosecc" style="margin-top: 25px;display: none;">
                    <div class="layui-inline">
                        <label class="layui-form-label"><span style="color: red;">*</span>选择船厂</label>
                        <div class="layui-input-inline">
                            <select name="cc" lay-search lay-filter='ccfilter'>
                                <option value="">直接选择或搜索选择</option>
                            </select>
                        </div>
                        <label class="layui-form-label" style="width: 300px">（选择之后单位基础信息自动关联船厂用户）</label>
                    </div>
                </div>
                <div class="layui-form-item" style="margin-top: 25px;">
                    <div class="layui-inline">
                        <label class="layui-form-label">申请单位名称</label>
                        <div class="layui-input-inline">
                            <input type="text" name="apunitname" lay-verify="" autocomplete="off" class="layui-input">
                        </div>
                    </div>
                    <div class="layui-inline">
                        <label class="layui-form-label">传真</label>
                        <div class="layui-input-inline">
                            <input type="text" name="fax" lay-verify="" autocomplete="off" class="layui-input">
                        </div>
                    </div>
                    <div class="layui-inline">
                        <label class="layui-form-label">邮编</label>
                        <div class="layui-input-inline">
                            <input type="text" name="zipcode" lay-verify="" autocomplete="off" class="layui-input">
                        </div>
                    </div>
                </div>
                <div class="layui-form-item">
                    <div class="layui-inline">
                        <label class="layui-form-label">申请日期</label>
                        <div class="layui-input-inline">
                            <input type="text" name="writedate" lay-verify="" autocomplete="off" class="layui-input" disabled="true">
                        </div>
                    </div>
                    <div class="layui-inline">
                        <label class="layui-form-label">地址</label>
                        <div class="layui-input-inline" style="width: 533px;">
                            <input type="text" name="ccadr" lay-verify="" autocomplete="off" class="layui-input">
                        </div>
                    </div>
                </div>
                <div class="layui-form-item">
                    <div class="layui-inline">
                        <label class="layui-form-label">社会统一代码</label>
                        <div class="layui-input-inline">
                            <input type="text" name="crecode" lay-verify="" autocomplete="off" class="layui-input" style="vertical-align:baseline">
                        </div>
                    </div>
                    <div class="layui-inline">
                        <label class="layui-form-label" style="width: 50px">负责人</label>
                        <div class="layui-input-inline" style="width: 125px">
                            <input type="text" name="writename" lay-verify="" autocomplete="off" class="layui-input">
                        </div>
                    </div>
                    <div class="layui-inline">
                        <label class="layui-form-label" style="width: 50px"><span style="color: red;">*</span>联系人</label>
                        <div class="layui-input-inline" style="width: 125px">
                            <input type="text" name="ccinfo" lay-verify="" autocomplete="off" class="layui-input">
                        </div>
                    </div>
                    <div class="layui-inline">
                        <label class="layui-form-label" style="width: 50px"><span style="color: red;">*</span>电话</label>
                        <div class="layui-input-inline" style="width: 125px">
                            <input type="text" name="ccphone" lay-verify="" autocomplete="off" class="layui-input">
                        </div>
                    </div>
                </div>
            </fieldset>
            <fieldset class="layui-elem-field layui-field-title">
                <legend><b>备注</b></legend>
                <div class="layui-form-item layui-form-text" style="margin-top: 25px;">
                    <textarea name="remarks" class="layui-textarea" style="width: 96%;margin-left: 30px;"></textarea>
                </div>
            </fieldset>
        </blockquote>
        <div class="layui-form-item" style="margin-top: 30px;">
            <div class="layui-input-block" style="text-align: center;margin-right: 120px;">
                <button class="layui-btn" lay-submit="" lay-filter="caseglyx" id="suresubmitx">保存提交</button>
                <button class="layui-btn layui-btn-primary" id="closex">关闭</button>
            </div>
        </div>
    </form>
</fieldset>
<script>
    layui.config({
        base: '../../js/ConstInspection/'
    }).use('ConstNewItems');
</script>
</body>
</html>


